Understanding Internal Hemorrhoids: Treatment Options and Concerns
Issues Related to Internal Hemorrhoids and the Use of Ointments Consulting a doctor: Previously, after using the restroom, I experienced a protrusion from my anus that would retract on its own. After some time, I needed to push it back manually. Last week, after having diarrhea f...
Dr. Zhang Shuhao Reply:
1. Prolapsed internal hemorrhoids that require manual reduction are classified as third-degree hemorrhoids. Diarrhea can sometimes exacerbate hemorrhoid symptoms; if the hemorrhoids can spontaneously reduce without manual intervention, they are classified as second-degree. The sy...[Read More] Understanding Internal Hemorrhoids: Treatment Options and Concerns
Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery
Severe pain during bowel movements after hemorrhoid surgery? Doctor, I apologize for the interruption; my statement is quite complex. I underwent minimally invasive surgery at the clinic on December 27, 2023. The next morning, I experienced tearing pain while having a bowel movem...
Dr. Zhang Shuhao Reply:
Most minimally invasive surgeries available in the market primarily address internal hemorrhoids, but postoperative venous return obstruction can lead to swelling of external hemorrhoids. Taking warm sitz baths and using anti-inflammatory medications can help alleviate symptoms. ...[Read More] Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery
Post-Surgery Pain Management After Hemorrhoid Surgery: What to Expect
Inquiry about postoperative pain after tissue coagulation knife procedure? Hello Dr. Chang, I am suffering from grade III internal hemorrhoids and have already undergone surgery at a major hospital. The procedure seemed to involve a tissue coagulation device, not laser treatment....
Dr. Zhang Shuhao Reply:
1. The LigaSure device is a literature-validated surgical method that results in lower levels of pain and bleeding compared to traditional surgery. If the wound has fully healed, antibiotic ointment is not necessary. Strongly applied analgesics can help soothe the wound and relie...[Read More] Post-Surgery Pain Management After Hemorrhoid Surgery: What to Expect
Should You Apply Hemorrhoid Ointment Internally After Surgery?
After hemorrhoid surgery, should the ointment be applied internally? Hello, Doctor. I underwent a Grade IV mixed hemorrhoid surgery on December 15, where both internal and external hemorrhoids were completely excised. I opted for the Ligasure minimally invasive technique. After t...
Dr. Zhang Shuhao Reply:
Postoperative ointments have antibacterial and soothing effects on wounds. However, if the wound is prone to bleeding due to its depth, you can apply the ointment only to the outer edges to minimize irritation to the wound. Bleeding will gradually improve as the wound heals.[Read More] Should You Apply Hemorrhoid Ointment Internally After Surgery?
Understanding Symptoms of Hemorrhoids: A Patient's Inquiry
Inquiry Consultation Dear Dr. Chang, Recently, when I sit, I feel a sense of pressure and fullness around the anal area, which is less noticeable when I stand or walk. Additionally, when I try to pass gas, it feels like the gas is trapped at the anal opening and is difficult to ...
Dr. Zhang Shuhao Reply:
1. When internal hemorrhoids are swollen and prolapsed, there may be a feeling of pressure and fullness near the anus, and standing or walking can help venous return, slightly alleviating the congestion and swelling. 2. Swelling of hemorrhoids may cause a different sensation in t...[Read More] Understanding Symptoms of Hemorrhoids: A Patient's Inquiry
Understanding Anal Papilla: Symptoms, Treatment Options, and Surgery
What about anal papillae? Hello, Dr. Peng: Ten days ago, I suddenly noticed a protrusion in my anus (over the past four months, I have gained weight from 63-65 kg to 69-70 kg). Upon self-examination, I felt a firm mass (similar to the texture of chicken cartilage) and observed th...
Dr. Peng Xianwen Reply:
Hello Mr. Lee: Regarding your inquiry, it is recommended that you visit the colorectal surgery outpatient clinic for a personal examination and medical treatment. Director Peng Hsien-Wen of the General Surgery Department at Nantou Hospital.[Read More] Understanding Anal Papilla: Symptoms, Treatment Options, and Surgery
Post-Hemorrhoid Surgery: When Is It Safe to Resume Anal Sex?
Can anal intercourse be performed after hemorrhoid surgery? Hello Dr. Chang, I have noticed blood in my stool during bowel movements for the past six months. Last month, I observed that the bleeding became more pronounced. After a doctor's examination, I was diagnosed with t...
Dr. Zhang Shuhao Reply:
1. After the ligation treatment for internal hemorrhoids, the wound requires two to three weeks to heal, and the newly healed area will be relatively fragile. It is recommended to wait about a month before engaging in activities, ensuring adequate relaxation and lubrication. 2....[Read More] Post-Hemorrhoid Surgery: When Is It Safe to Resume Anal Sex?
Is Fever Normal After Hemorrhoid Surgery? Post-Op Care Tips
I would like to inquire if fever can occur after hemorrhoid surgery? Hello, I would like to inquire about my father's hemorrhoid banding surgery at the postal hospital on November 18. Is postoperative fever a normal phenomenon, or is it related to individual constitution? Ad...
Dr. Zhang Shuhao Reply:
Generally, rubber band ligation for internal hemorrhoids does not cause fever. However, if fever is accompanied by chills, palpitations, shortness of breath, low blood pressure, or severe anal-rectal pain, immediate medical attention is required. If there is a mild fever without ...[Read More] Is Fever Normal After Hemorrhoid Surgery? Post-Op Care Tips
Understanding Anal Masses: Could It Be Hemorrhoids?
Anal mass In recent months, I have noticed a small lump protruding from my anus after bowel movements, which is difficult to pass. This has been happening quite frequently over the past month, and I can only push it back in with my finger. The lump is not large, has a smooth surf...
Dr. Zhang Shuhao Reply:
If a hemorrhoid protrudes after a bowel movement and needs to be pushed back in manually, it may indicate a third-degree internal hemorrhoid prolapse. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to prevent constipation. Moderate exerc...[Read More] Understanding Anal Masses: Could It Be Hemorrhoids?
Is It Hemorrhoids? Understanding Rectal Bulges After Bowel Movements
Does it look like hemorrhoids? In recent months, I have experienced a situation where a lump protrudes from my anus after each bowel movement, and I have to push it back in with my hand; otherwise, it remains stuck at the anal opening. There is no bleeding, but I have noticed som...
Dr. Zhang Shuhao Reply:
If a hemorrhoid protrudes after a bowel movement and needs to be pushed back in manually, it may indicate a third-degree internal hemorrhoid prolapse. It is advisable to take warm sitz baths, increase fluid intake, and consume dietary fiber to prevent constipation. Moderate exerc...[Read More] Is It Hemorrhoids? Understanding Rectal Bulges After Bowel Movements
Understanding Small Red Dots on Toilet Paper: A Surgical Perspective
Wiping reveals small red spots? Hello, Dr. Ke. I am 26 years old and have internal hemorrhoids. On the night of November 17 and the morning of November 18, I noticed 1 to 2 tiny red spots on the toilet paper after wiping, resembling chili powder. I recall having fried rice with k...
Dr. Ke Fangxu Reply:
It is necessary to perform a fecal occult blood test to determine whether it is bleeding or caused by food residues like chili skin. Even if there is a small amount of bleeding, it is usually not a cause for concern. Abnormal stool color is often caused by food remnants, with com...[Read More] Understanding Small Red Dots on Toilet Paper: A Surgical Perspective
Understanding Hemorrhoids: Symptoms, Treatments, and When to Seek Help
Hemorrhoid issues Hello Doctor: A while ago, I experienced the following situation, but when I went to see a doctor, they said I had a small internal hemorrhoid and tied it off, but the issue still hasn't been resolved. I'm not sure if the doctor missed something? (At t...
Dr. Zhang Shuhao Reply:
1. Based on your description, it seems more like an external hemorrhoid. Only internal hemorrhoids can be banded, and after banding, external hemorrhoids may become more pronounced due to impaired blood flow. External hemorrhoids are associated with pain, and friction during swel...[Read More] Understanding Hemorrhoids: Symptoms, Treatments, and When to Seek Help
Is It Normal to Develop External Hemorrhoids After Internal Ligation?
Can internal hemorrhoids turn into external hemorrhoids after ligation? Hello Doctor, I am four days post-banding for internal hemorrhoids at the postal hospital, and it seems that a new hemorrhoid has developed at the anal area. It looks somewhat like a smaller chicken heart, an...
Dr. Ke Fangxu Reply:
This is likely due to swelling of the external hemorrhoid caused by the incision being more lateral after the vasectomy. Regular warm sitz baths along with the application of ointment should help reduce the swelling gradually. If there are symptoms of redness, swelling, heat, or ...[Read More] Is It Normal to Develop External Hemorrhoids After Internal Ligation?
Understanding Post-Banding Pain and Discomfort After Hemorrhoid Treatment
It has been a week since the rubber band ligation for internal hemorrhoids, and there is still soreness and pain? Hello Dr. Ke, I have been experiencing bleeding from internal hemorrhoids. I underwent ligation twice at a large hospital over ten years ago. In the past three to fo...
Dr. Ke Fangxu Reply:
If the ligation of hemorrhoids is done at a shallower depth, it may lead to discomfort. Generally, the symptoms will subside as the wound heals. During this period, taking warm sitz baths and applying ointment can help. If the pain is severe, oral medications can also be used to ...[Read More] Understanding Post-Banding Pain and Discomfort After Hemorrhoid Treatment
Is Bleeding Normal After Rubber Band Ligation for Internal Hemorrhoids?
Rubber band ligation for internal hemorrhoids? Hello, I underwent rubber band ligation for internal hemorrhoids on October 12, 2023. On October 13, I noticed bright red blood during bowel movements, and on October 14, there was both dark red and bright red blood. I would like to ...
Dr. Zhang Shuhao Reply:
After hemorrhoid ligation, it is common to experience a small amount of bleeding for a few days, which is considered normal. You can return for your scheduled follow-up appointment. However, if you experience heavy bleeding, passage of blood clots, feelings of dizziness or palpit...[Read More] Is Bleeding Normal After Rubber Band Ligation for Internal Hemorrhoids?
Understanding the Risks of Incomplete Rubber Band Ligation for Hemorrhoids
Rubber band ligation for internal hemorrhoids? Hello Dr. Chang, Previously, I consulted a doctor regarding my internal hemorrhoids, and the doctor mentioned that I have three large internal hemorrhoids that require three rubber band ligation procedures. I have completed two proc...
Dr. Zhang Shuhao Reply:
If the current hemorrhoid symptoms do not cause any inconvenience in daily life, it may not be necessary to undergo additional ligation. Multiple short-term ligations can increase the risk of complications, and if a third procedure is truly needed, a careful evaluation is require...[Read More] Understanding the Risks of Incomplete Rubber Band Ligation for Hemorrhoids
Post-Banding Discomfort After Hemorrhoid Surgery: What to Expect
Issues After Hemorrhoid Banding for Internal Hemorrhoids Hello Doctor: I underwent a hemorrhoid ligation procedure on September 21 this year. I felt a bit uncomfortable at the time, but aside from experiencing significant pain during bowel movements on one particular day, I didn&...
Dr. Zhang Shuhao Reply:
After the ligation of internal hemorrhoids, scar tissue will form in the local area, securing the internal hemorrhoids at a higher position in the anal canal. As a result, there may be a sensation of tightness in the anus, but it usually does not cause pain. It is advisable to ta...[Read More] Post-Banding Discomfort After Hemorrhoid Surgery: What to Expect
Understanding Hard Lumps in the Anus: Hemorrhoids or Something Else?
A hard lump the size of a half green bean felt inside the anus? Recently, I felt a hard lump about the size of a fingertip in the anal area. It doesn't feel like a surface protrusion but rather a firm mass beneath the skin that is not painful and does not feel like a foreign...
Dr. Zhang Shuhao Reply:
1. Based on your description, it is most likely a thrombosed hemorrhoid, which is a lump formed by bleeding from the hemorrhoidal vessels under the skin. Warts typically present with localized lesions; tumors are very rare at your age. 2. Applying medication, taking warm sitz b...[Read More] Understanding Hard Lumps in the Anus: Hemorrhoids or Something Else?
Understanding Prolapsed Hemorrhoids: Symptoms, Treatment, and Surgery Options
Hemorrhoids protruding from the anal opening? Hello, Doctor. A few weeks ago, I noticed a small lump suddenly appeared at my anus (initially at the anal opening - https://ibb.co/vQSVdVB). I immediately went to the hospital to see a doctor. After examination, the doctor diagnosed ...
Dr. Ke Fangxu Reply:
The two photos actually do not show significant differences, so it is not considered to have worsened. If there is no bleeding and no pain, then surgery is not necessary. The thrombosis appears to be very small, and there is no need for incision. Minimally invasive surgery is als...[Read More] Understanding Prolapsed Hemorrhoids: Symptoms, Treatment, and Surgery Options
Understanding Your Colonoscopy Results: What Are Mixed Hemorrhoids?
Questions after this year's colonoscopy? Hello, doctor. Earlier this year, I had a colonoscopy, and the doctor mentioned that aside from mixed hemorrhoids, there were no issues. However, I saw a photo on the health insurance app that left me a bit confused. Is this what the ...
Dr. Zhang Shuhao Reply:
This is an image taken during a colonoscopy as the scope is just entering the anal canal. The slightly reddened and swollen tissue around is indicative of internal hemorrhoids, which may appear slightly swollen due to bowel preparation, and this is a normal phenomenon.[Read More] Understanding Your Colonoscopy Results: What Are Mixed Hemorrhoids?